Three component cartilage framework reconstruction for correction of post-traumatic nasal septal collapse

Bhat, Uday; Gupta, Tarush; Nair, Mahesh N.; Mantri, M. B.; Pawar, Mangesh; Baliarsing, Amresh S.

doi:10.4103/ijps.ijps_74_17

Cited by 3 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These studies comprised 1041 patients of whom 741 received autologous grafts and 293 received IHCC grafts. Studies were published between January 1, 1990, and December 31, 2017; the mean sample size was 36 patients (range, 9-157 patients); and studies were from countries around the world, including Turkey (n = 9), 3,[23][24][25][26][27][28][29][30] the United States (n = 5), 9,13,[31][32][33] South Korea (n = 4), 14,18,19,34 Italy (n = 2), 35,36 India (n = 2), 37,38 the United Kingdom (n = 1), 39 Germany (n = 1), 40 the Netherlands (n = 1), 15 Egypt (n = 1), 41 South Africa (n = 1), 42 and Saudi Arabia (n = 1). 43 Mean follow-up time ranged from 6 to 48 months in the studies that reported follow-up, although 8 studies did not.…”

Section: Resultsmentioning

confidence: 99%

Comparison of Autologous vs Homologous Costal Cartilage Grafts in Dorsal Augmentation Rhinoplasty

Vila

Jeanpierre

Rizzi

et al. 2020

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

IMPORTANCE Augmentation rhinoplasty requires adding cartilage to provide enhanced support to the structure of the nose. Autologous costal cartilage and irradiated homologous costal cartilage (IHCC) are well-accepted rhinoplasty options. Tutoplast is another alternative cartilage source. No studies, to our knowledge, have definitively demonstrated a higher rate of complications with IHCC grafts compared with autologous costal cartilage grafts. OBJECTIVE To compare rates of outcomes in the published literature for patients undergoing septorhinoplasty with autologous costal cartilage vs IHCC grafts vs Tutoplast grafts.DATA SOURCES For this systematic review and meta-analysis, the MEDLINE, Embase, Scopus, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov databases were searched for articles published from database inception to February 2019 using the following keywords: septorhinoplasty, rhinoplasty, autologous costal cartilage graft, cadaveric cartilage graft, and rib graft.STUDY SELECTION Abstracts and full texts were reviewed in duplicate, and disagreements were resolved by consensus. Only patients who underwent an en bloc dorsal onlay graft were included for comparison to ensure a homogenous study sample. A total of 1308 results were found. After duplicate records were removed, 576 unique citations remained. Studies were published worldwide between January 1, 1990, and December 31, 2017.DATA EXTRACTION AND SYNTHESIS Independent extraction by 2 authors was performed. Data were pooled using a random-effects model. MAIN OUTCOMES AND MEASURESAll reported outcomes after septorhinoplasty and rates of graft warping, resorption, infection, contour irregularity, and revision surgery among patients receiving autologous grafts vs IHCC vs Tutoplast cartilage grafts. RESULTSOf 576 unique citations, 54 studies were included in our systematic review; 28 studies were included after applying inclusion and exclusion criteria. Our search captured 1041 patients of whom 741 received autologous grafts and 293 received IHCC grafts (regardless of type). When autologous cartilage (n = 748) vs IHCC (n = 153) vs Tutoplast cartilage (n = 140) grafts were compared, no difference in warping (5%; 95% CI, 3%-9%), resorption (2%; 95% CI, 0%-2%), contour irregularity (1%; 95% CI, 0%-3%), infection (2%; 95% CI, 0%-4%), or revision surgery (5%; 95% CI, 2%-9%) was found. CONCLUSIONS AND RELEVANCENo difference was found in outcomes between autologous and homologous costal cartilage grafts, including rates of warping, resorption, infection, contour irregularity, or revisions, in patients undergoing dorsal augmentation rhinoplasty. En bloc dorsal onlay grafts are commonly used in augmentation rhinoplasty to provide contour and structure to the nasal dorsum.

show abstract

Section: Resultsmentioning

confidence: 99%

Comparison of Autologous vs Homologous Costal Cartilage Grafts in Dorsal Augmentation Rhinoplasty

Vila

Jeanpierre

Rizzi

et al. 2020

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…Although conchal cartilage is criticized for its convolutions and its curved nature, this can be overcome by crosshatching, flattening, shaving of tubercle, and cutting it into multiple pieces followed by rearranging it to make a smooth surface (►Fig. 4).…”

Section: Discussionmentioning

confidence: 99%

“…Patients requiring structural reconstruction (excluding columellar strut), reconstruction and support for nasal ala, lateral wall, patients requiring spreader grafts, patients with past history of septal surgery or positive tip touch sign indicating loss of septal volume, and cleft lip nose patients were excluded. 4 A preoperative soap template to fill the deficiency was made. This was used as a guide tool for estimating the volume of the graft.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Versatility and Outcomes of ‘Mumbai Technique’ of Stacked Cartilage Grafts in Indian Rhinoplasty

Bhat,

Pawar,

Katyal

et al. 2024

Indian J Plast Surg

View full text Add to dashboard Cite

Background Augmentation rhinoplasty requires graft with substantial volume. In cases where patient is reluctant to use costal cartilage, this can be done using septum and conchal cartilage graft. Using the technique of “stacked cartilage graft” an assembly is made using septum and conchal cartilage for nasal augmentation and contour defects. Although multilayered grafts have been described before, we propose an elaborate and effective method named after our city, Mumbai, to shape these grafts and highlight economical use of conchal and septal cartilage to overcome its limited volume. It also describes its clinical and aesthetic outcome of this technique in Indian patients. Methods A retrospective study from 2005 to 2020 was done in our institute. Data was collected from medical and hospital records. Preoperative and postoperative photographs were obtained for preoperative planning and outcome analysis. Rhinoplasty Outcome Evaluation score was used for outcome analysis. Minimum follow-up was 1 year in our study. Results A total of 210 patients were included in our study. In all cases, the stacked cartilage graft technique produced a natural appearing dorsum. Complications of cartilage such as resorption, extrusion, and warping were minimum. All the patients were satisfied with their results. Conclusion Although the limited volume of conchal cartilage is criticized, in reality it can be used effectively for larger requirement with “economy of use” using our technique. The curvatures and convolutions of conchal cartilage can be effectively neutralized by using this technique to obtain a smooth surface.However, this technique requires incorporation of every bit of cartilage and meticulous stacking of the pieces to get the desired shape. Thus, the stacked cartilage grafts have excellent versatility and produce natural and long-lasting results and minimal complications.

show abstract

“…[25][26][27][28][29] To restore the deficiency of the septal bone, rhinosurgeons most often use autotissues -removed areas of the cartilage and bones of the septum of the nose. [30][31][32] In the treatment of curvature of the caudal septum, such methods as suturing, hinged door, septal rail, ethmoid sandwich graft, tongue in groove and extracorporeal septoplasty have been used. 33,34 The treatment of nasal septal deformity, despite the long history of development and many modifications of the classical operation, is one of the urgent problems of modern rhinosurgery.…”

Section: Introductionmentioning

confidence: 99%

The Results of Septoplasty in Patients With Various Forms of Deviated Of the Nasal Septum Using the Technique of Extracorporeal Remodeling and Replantation of the Septum

Garibyan,

Gevorkyan,

Chahoyan

et al. 2023

JBSMFS

View full text Add to dashboard Cite

Objective: To present the results of extracorporeal septoplasty in patients with various forms of deviated of the nasal septum, using the technique of replantation of the septum and to discuss the advantages and limitations. Materials and methods: The work is based on clinical observations of 164 patients with curvature of the nasal septum from 2018 to 2023. All patients underwent a standard otorhinolaryngological examination, spiral computed tomography CT of the nose and paranasal sinuses in coronary and axial projections. Endoscopic examination of the nasal cavity carried out by an endoscope of the Karl Storz company. Nasal breathing is objectively evaluated with the help of the "PC 300 nose manometer" by ATMOS, which allows to register the pressure in one half of the nose while the patient breathes through the other. A modified "extracorporeal" septoplasty is used, which consists in the complete isolation and temporary removal of the deformed quadrilateral cartilage, followed by its correction and reimplantation. The operation was performed under general anesthesia with performed oral intubation. Results: No complications were observed during the operation, the patients were satisfied with the aesthetic and functional results of septoplasty. Complications were noted in the remote postoperative period. long-term swelling of the mucous membrane of the nose (partially obstructed nasal breathing), which was stopped by taking antihistamines, in 5 patients. In all clinical observations, stable support of the cartilaginous part of the nasal septum and the absence of its secondary deviation were obtained, which also directly affects the harmonic aesthetic results of the shape of the external nose and free nasal breathing. The indicators of the rhinomanometer showed a significant improvement in nasal breathing and are approaching the values accepted as the norm. Conclusions: Extracorporeal septoplasty in patients with various forms of curvature of the nasal septum is an effective surgical technique that gives optimal functional results.

show abstract

Three component cartilage framework reconstruction for correction of post-traumatic nasal septal collapse

Cited by 3 publications

References 10 publications

Comparison of Autologous vs Homologous Costal Cartilage Grafts in Dorsal Augmentation Rhinoplasty

Comparison of Autologous vs Homologous Costal Cartilage Grafts in Dorsal Augmentation Rhinoplasty

Versatility and Outcomes of ‘Mumbai Technique’ of Stacked Cartilage Grafts in Indian Rhinoplasty

The Results of Septoplasty in Patients With Various Forms of Deviated Of the Nasal Septum Using the Technique of Extracorporeal Remodeling and Replantation of the Septum

Contact Info

Product

Resources

About